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General NPI Number Information
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NPI Number | 1356133268
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Entity Type | Individual
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Provider Name | BETSY GONZALEZ HERNANDEZ
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Gender | Female
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Dates
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Enumeration Date | 05/19/2025
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | PO BOX 216
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City | MAYAGUEZ
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State | PR
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Zip | 00681-0216
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Country | US
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Telephone | 787-834-7991
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Fax |
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Provider Business Mailing Address
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Address Line | HC 5 BOX 10253
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City | MOCA
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State | PR
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Zip | 00676-9709
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Country | US
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Telephone | 787-354-2344
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 755
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License Number State | PR
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